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NPI Code Detail

MEDICARE: ABELYN AGBAI FNP

MEDICARE:   ABELYN  AGBAI  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF06251650NC

General Provider Information

NPI Number : 1447148978
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABELYN AGBAI FNP
Provider Business Mailing Address
First Line : 6009 FOREST POND DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-4252
Country : US
Telephone Number : 980-349-0235
Fax Number :
Provider Business Practice Location Address
First Line : 2317 CONCORD LAKE RD
Second Line :
City : CONCORD
State : NC
Zip : 28025-2813
Country : US
Telephone Number : 704-933-2101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 06/24/2025

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Directions to “ ABELYN AGBAI FNP” Practice Location

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